?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Transesophageal+pacing+%3A+a+versatile+diagnostic+and+therapeutic+tool&rft.creator=Verbeet%2C+Thierry&rft.creator=Castro%2C+Jos%C3%A9&rft.creator=Decoodt%2C+Pierre&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Transesophageal+atrial+pacing+is+feasible+because+of+the+proximity+between+the+oesophagus+and+the+posterior+aspect+of+the+atria1.+Atrial+pacing+is+possible+through+the+oesophagus+in+almost+all+patients+and+can+yield+important+information+in+many+arrhythmias+where+single+site+atrial+pacing+is+of+value.+It+is+a+cheap+procedure.+There+is+no+need+for+X+Rays+or+cathlab.%0A%0ATechnical+considerations%0A%0A++++++++++++Transesophageal+pacing+and+recording+is+done+using+specialized+or+non+specialized+catheters.+There+are+two+different+lead+types%3A+1)+the+pill+electrode%2C+connected+to+a+flexible+wire%2C+that+the+patient+swallows+with+water.+This+pill+electrode+necessitates+patient+collaboration.+2)+a+flexible+catheter+that+can+even+be+used+in+comatose+or+intubated+patients.%0A%0A++++++++++++The+pacing+lead%2C+in+our+cases+a+bipolar+flexible+catheter%2C+is+introduced+into+the+oesophagus+via+the+nares+after+local+nose+anesthesia+with+xylocaine+spray.+Sometimes+throat+anesthesia+with+the+same+spray+is+also+performed.+Xylocaine+gel+is+used+to+lubricate+the+lead+and+the+lead+is+introduced+with+guidewires+in+it+in+order+to+increase+its+stiffness.+It+is+positioned+into+the+oesophagus+in+order+to+record+the+posterior+paraseptal+atrial+electrogram.+There+is+a+relationship+between+the+site+of+maximal+atrial+amplitude+and+the+lowest+atrial+pacing+threshold.+The+optimal+atrial+pacing+site+is+usually+found+around+40+cm+from+the+nares.+Bipolar+or+unipolar+recordings+can+be+made.%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2003-10&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4245%2F1%2Fverbeet.htm&rft.identifier=++Verbeet%2C+Thierry+and+Castro%2C+Jos%C3%A9+and+Decoodt%2C+Pierre++(2003)+Transesophageal+pacing+%3A+a+versatile+diagnostic+and+therapeutic+tool.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4245%2F